Teressa Marie Petosky, PT, DPT, LMT is a
Physical Therapist - Orthopedic based in Mcconnell Afb, Kansas. Teressa Marie Petosky is licensed to practice in Pennsylvania (license number PT023554) and her current practice location is
57950 Leavenworth St, Mcconnell Afb, Kansas. She can be reached at her office (for appointments etc.) via phone at
(316) 759-5071.
NPI number for Teressa Marie Petosky is 1144654344 and her current mailing address is 412 S Clear Creek St, Clearwater, Kansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144654344.
Healthcare Provider's Profile
Full Name | Teressa Marie Petosky |
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Gender | Female |
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Speciality | Physical Therapist - Orthopedic |
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Location | 57950 Leavenworth St, Mcconnell Afb, Kansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1144654344
- Provider Enumeration Date: 08/25/2013
- Last Update Date: 04/05/2018
Medical Identifiers
Medical identifiers for Teressa Marie Petosky such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144654344 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | MT007855 (Georgia) | Secondary |
225100000X | Physical Therapist | PT011187 (Georgia) | Secondary |
2251X0800X | Physical Therapist - Orthopedic | PT023554 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Teressa Marie Petosky is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Teressa Marie Petosky, PT, DPT, LMT 412 S Clear Creek St, Clearwater, KS 67026-8722 Ph: (803) 508-3114 | Teressa Marie Petosky, PT, DPT, LMT 57950 Leavenworth St, Mcconnell Afb, KS 67221-3506 Ph: (316) 759-5071 |
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